Individual
DR. GLENN P CHAPMAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
312 W 3RD ST, PORT CLINTON, OH 43452-1846
(419) 734-6250
(419) 734-5312
Mailing address
312 W 3RD ST, PORT CLINTON, OH 43452-1846
(419) 734-6250
(419) 734-5612
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2290
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139788
ANTHEM BLUE CROSS BLUE SH
—
05
—
0240313
—
OH
01
—
341822320-00
BWC
OH
01
—
341822320-002
MEDICAL MUTUAL OF OHIO
—
Enumeration date
06/15/2005
Last updated
03/09/2017
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